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Organization
GLEN ROSE MEDICAL FOUNDATION
Active
Organization
GLEN ROSE MEDICAL FOUNDATION
Active
Other names
GLEN ROSE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
HAL MAYO (CFO)
(254) 897-2215
Entity
Organization
Contact information
Practice address
1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-2215
(254) 897-1446
Mailing address
PO BOX 299, GLEN ROSE, TX 76043-0299
(254) 897-2215
(254) 897-1446
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
000059
TX
261QC0050X
Critical Access Hospital Clinic/Center
000059
TX
281P00000X
Chronic Disease Hospital
Primary
000059
TX
332B00000X
Durable Medical Equipment & Medical Supplies
000059
TX
Other
Enumeration date
06/15/2006
Last updated
09/11/2025
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